[Hiring] Claims & Litigation Associate @Stanford Health Care

Role Description

Primary responsibility for managing, investigating, and resolving professional and general liability claims for the Stanford Medicine enterprise. Requires coordination with internal stakeholders and staff, as well as oversight and management of panel counsel. Analyzes complex medical claims and evaluates exposure and liability. Assists in handling other types of exposures as warranted, including cyber/privacy, construction, and property claims.

What you will do

• Develops action plan for managing litigated claims, evaluates insurance coverage, attends mediation and trial, monitors litigation costs, handles discovery, and provides recommendations for ultimate resolution.
• Oversees legal defense strategy, retains outside counsel, coordinates support for investigation, reviews attorney invoices, and monitors counsel’s compliance with litigation management guidelines.
• Investigates pre-suit claims, reviews medical records, interviews providers, retains consultants when necessary, communicates with patients and/or families, and directly negotiates settlements when warranted.
• Prepares claims reports and settlement evaluations. Presents high-exposure cases to leadership and stakeholders, including reinsurance partners.
• Maintains accurate defense and indemnity reserves.
• Manages claims files in internal database. Inputs all work product to ensure case information is accurate and entered in a timely manner.
• Investigates cyber and privacy claims. Pursues recovery in construction and property claims. Manages associated insurance reporting and communication requirements.
• Assists in other matters as assigned. Handles Medical Board and NPDB reporting. Prepares and conducts Risk Management educational presentations.

Qualifications

• Juris Doctor (JD) required. California license preferred.
• Five (5) years of progressively responsible and directly-related claim management experience.

Requirements

• Strong writing, communication, and presentation skills.
• Effective negotiation skills.
• Ability to analyze complex legal problems and develop solutions.
• Ability to review and evaluate medical records and literature.
• Knowledge of laws pertaining to professional and general liability litigation.
• Ability to work effectively both as a team player and leader.

Benefits

• Base Pay Scale: Generally starting at $100.03 - $132.51 per hour.
• The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training.
• This pay scale is not a promise of a particular wage.

Company Description

Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.